Job Listings

Be part of something bigger—make an impact in a growing organization! CareCentrix is committed to making the home the center of patient care.   Clinical Reviewers are responsible for the Utilization Management and review of clinical information for service requests received and to render a medical necessity approval or recommended denial to the Medical Director. As part of this process, you will evaluate information concerning patient care and match those needs with available care options, consistent with CareCentrix guidelines and specific plan payer criteria.

ABOUT CARECENTRIX At CareCentrix, we are passionate about our SEED (Students Engaged in Excellence and Development) Internship Program and providing a meaningful learning experience. To us, the program represents our long-term success. All assignments add value both to our company and to your development while enabling you to establish a professional network.   CareCentrix is one of the fastest growing home healthcare companies in the country!  We are uniquely positioned in the hottest area of healthcare, providing Health Plans and Providers with a one-stop solution that coordinates all our patient’s home healthcare needs, including skilled nursing services, home infusion therapies, physical therapy, durable medical equipment, sleep solutions, and post-acute care management.   We are looking for students with a sense of purpose, passionate about healthcare, and the curiosity to experiment and learn. 

This position ensures the accurate and timely preparation of correspondence appropriate to contract and service type. Prepares and proofreads correspondence. Works under moderate supervision.   Schedule: Monday - Friday 11:30-8pm

As the Medical Director you will provide clinical oversight of the Utilization Management and transitional case management for our Post Acute Care program which includes Utilization of Post-Acute Care (PAC) facilities, medically appropriate steerage to home, coordination of discharges and post discharge follow up to prevent readmissions. A key part of the role is to work with strategically with UM leaders and market engagement director to overcome facility barriers to discharge. Clinical conversations with facility physicians as needed to impact admissions to PAC facilities and PAC length of stay. In this role the Medical Director will perform medical necessity reviews utilizing industry standard criteria, as well as client specific clinical criteria, for Skilled Nursing Facility (SNF), Long Term Acute Hospital (LTCH) and Acute Inpatient Rehabilitation Facility (IRF). The Regional Medical Director will also be responsible for support hospital discharge management for 90 days post discharge providing education and high risk member support to the Readmission Nurse Coach Program.

  Are you an experienced Registered Nurse with a passion for shaping the future of healthcare?   As a Nurse Liaison you will be an expert in resource management, a master of utilization review and a compassionate partner for patients and their support network. You will be responsible for an assigned caseload at acute and post-acute care facilities. You will conduct in person, on site, face to face outreach, with patients to introduce the Post-Acute program. You will gather patient demographics and collaborate with hospital clinicians, patients and their family to develop a discharge plan of care and will coordinate post-acute care services for the patient and collaborate with Post-Acute homecare agencies on post-acute care plan of care, authorizing services as medically necessary.   The Post-Acute Care program helps to reduce hospital readmissions of patients and has aspects of education and coaching to assist patient’s transition home after a hospital stay. The program works directly with patient treatment plans, facilitates in home health care services to accomplish the treatment plan, patient goals and patient education/coaching along with adherence/compliance monitoring.

This is an excellent opportunity to help shape the future of healthcare and drive innovation throughout the industry. CareCentrix is committed to making the home the center of patient care.   Leads and oversees CareCentrix’s Home Product Analytic activities.  This individual is accountable for setting a standard methodology and process for performing strategic analysis and executing according to that standard.  This individual will collaborate with other CareCentrix support functions, including finance, product development, account management-sales, provider services, technical solutions group, and performance improvement to optimize profitability, growth, and operational performance.

As the Post Acute Care (PAC) Product Management Director, you will work with the product owner to develop, prioritize, and execute the strategy and road-map for CareCentrix PAC solutions, with a primary focus on initiatives with Walgreens. You will be responsible for developing business cases to justify the enhancements and extensions of the road-map to ensure it meets the needs of our clients in the dynamic healthcare landscape.  This is an individual contributor role.

  Are you an experienced Registered Nurse with a passion for shaping the future of healthcare?   As a Nurse Liaison you will be an expert in resource management, a master of utilization review and a compassionate partner for patients and their support network. You will be responsible for an assigned caseload at acute and post-acute care facilities. You will conduct in person, on site, face to face outreach, with patients to introduce the Post-Acute program. You will gather patient demographics and collaborate with hospital clinicians, patients and their family to develop a discharge plan of care and will coordinate post-acute care services for the patient and collaborate with Post-Acute homecare agencies on post-acute care plan of care, authorizing services as medically necessary.   The Post-Acute Care program helps to reduce hospital readmissions of patients and has aspects of education and coaching to assist patient’s transition home after a hospital stay. The program works directly with patient treatment plans, facilitates in home health care services to accomplish the treatment plan, patient goals and patient education/coaching along with adherence/compliance monitoring.

As a Billing Account Specialist you will provide excellent customer service to Identify patient’s needs to help educate them on CareCentrix role in their care. You will determine the acceptance of patient’s financial responsibility through claim research, plans and eligibility to resolve the patient’s account. Identify and escalate patient issues and concerns In this Job you will: • Researches, resolves, and documents patient inbound and outbound calls involving a wide range of issues utilizing multiple information systems. This includes communications with internal business centers and external customers. Assures customer agreement by summarizing and closing each call appropriately. • Investigates payment status and determines ultimate patient financial responsibility. • Collect outstanding balance, offer patient assistance with financial responsibility through various financial options. • Maintains patient confidentiality and data integrity in accordance with Health Information Portability Accountability Act (HIPAA), and company policies and procedures. • Exercises good judgment, interpret data, and remains knowledgeable in details of all related CareCentrix contracts, policies and procedures. Participates in process improvement initiatives; maintains teamwork, customer service production and quality standards to assure timely, efficient and accurate call resolution. • Minimize patient dissatisfaction with active listening, maintaining a professional tone, and acknowledging their concerns.

As a member of the Medical Economics team, you will use their knowledge to support the company's financial and growth goals through data mining and analysis that supports pricing and risk assumptions.

As a Nurse Coach you will utilize your clinical expertise to manage assigned Post-Acute Care patients’ transition from acute care setting to the home setting through telephonic outreach to provide education, coaching and care coordination to accomplish the goals of the Post-Acute Care Program. You will engage Post-Acute Care patients in the program and administer initial, update, and discharge assessments in an effort to prevent readmissions.  This position works closely with the Post-Acute Care patient, home health agency nurse, and physicians to facilitate education and adherence to establish health care goals and develop a personalized care plan. Position requires participation in performance and operational improvement activities. Works under moderate supervision.   Post-Acute Care is an end-to-end post-acute offering that manages episodes of care up to 90-days beginning prior to the patient’s discharge from the hospital. The program identifies the likely best site-of-care for the patient upon hospital discharge, manages length of stay (LOS) if a Skilled Nursing Facility (SNF) or Institutional Rehab Facility (IRF) is appropriate, and reduces hospital readmissions. Our program also coordinates the services required for a patient to transition to their home.

The Senior Business Analyst – Project and Production Support will be responsible for providing operational support, business performance analysis and reporting, and drive improvement projects. Requires limited supervision and technical assistance. Specializes as the subject matter expert in documenting, communicating, and resolving issues through business requirements for technology improvements or in support of operational process efficiencies for revenue cycle management systems. The Senior Business Analyst will offer additional expertise in recommendations for issue approach / resolution by leading more complex deliverables.

Be part of something bigger—make an impact in a growing organization! CareCentrix is committed to making the home the center of patient care.   Clinical Reviewers are responsible for the Utilization Management and review of clinical information for service requests received and to render a medical necessity approval or recommended denial to the Medical Director. As part of this process, you will evaluate information concerning patient care and match those needs with available care options, consistent with CareCentrix guidelines and specific plan payer criteria.

Be part of the changing landscape of healthcare. CareCentrix is committed to making the home the center of patient care.   As a Care Coordinator for Government Programs - Medicare you will participate in the time sensitive collection of documentation required to manage patient cases of care from beginning to end. You will support the clinical nurses and ensure that patients are serviced in a timely manner, according to customer requirements.  

  Are you an experienced Registered Nurse with a passion for shaping the future of healthcare?   As a Nurse Liaison you will be an expert in resource management, a master of utilization review and a compassionate partner for patients and their support network. You will be responsible for an assigned caseload at acute and post-acute care facilities. You will conduct in person, on site, face to face outreach, with patients to introduce the Post-Acute program. You will gather patient demographics and collaborate with hospital clinicians, patients and their family to develop a discharge plan of care and will coordinate post-acute care services for the patient and collaborate with Post-Acute homecare agencies on post-acute care plan of care, authorizing services as medically necessary.   The Post-Acute Care program helps to reduce hospital readmissions of patients and has aspects of education and coaching to assist patient’s transition home after a hospital stay. The program works directly with patient treatment plans, facilitates in home health care services to accomplish the treatment plan, patient goals and patient education/coaching along with adherence/compliance monitoring.

The PAC Nurse is a telephonic position responsible for managing the length of stay (LOS) for Long Term Acute Hospital (LTACH), Skilled Nursing Facility (SNF), and Institutional Rehab Facility (IRF) for their assigned post-acute care facilities through collaboration PAC Nurse will also collaborate with key facility personnel as well as with CareCentrix internal Medical Directors, Market Engagement Directors and Nurse Managers to develop and maintain a timely discharge plan.

  Are you an experienced Registered Nurse with a passion for shaping the future of healthcare?   As a Nurse Liaison you will be an expert in resource management, a master of utilization review and a compassionate partner for patients and their support network. You will be responsible for an assigned caseload at acute and post-acute care facilities. You will conduct in person, on site, face to face outreach, with patients to introduce the Post-Acute program. You will gather patient demographics and collaborate with hospital clinicians, patients and their family to develop a discharge plan of care and will coordinate post-acute care services for the patient and collaborate with Post-Acute homecare agencies on post-acute care plan of care, authorizing services as medically necessary.   The Post-Acute Care program helps to reduce hospital readmissions of patients and has aspects of education and coaching to assist patient’s transition home after a hospital stay. The program works directly with patient treatment plans, facilitates in home health care services to accomplish the treatment plan, patient goals and patient education/coaching along with adherence/compliance monitoring.